Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.35 / $272.25 / $272.25	Facility		$238.35	$272.25	$272.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.01 / $160.88 / $257.72	Professional		$119.01	$160.88	$257.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $332.44	Facility		$166.52	$166.52	$332.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.52 / $376.88 / $471.09	Professional		$166.52	$376.88	$471.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $293.12 / $325.04 / $370.52	Professional		$293.12	$325.04	$370.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.73 / $392.89 / $1,389.02	Facility		$192.73	$392.89	$1,389.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.49 / $185.73 / $412.94	Professional		$144.49	$185.73	$412.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $331.47 / $332.44 / $404.85	Facility		$331.47	$332.44	$404.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $279.26 / $388.34 / $635.30	Professional		$279.26	$388.34	$635.30
United Facility/Professional Professional Modifier Low / Median / High Price $144.49 / $155.81 / $396.10	Professional		$144.49	$155.81	$396.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $296.18 / $296.18 / $296.18	Facility		$296.18	$296.18	$296.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $233.98 / $296.18 / $296.18	Professional		$233.98	$296.18	$296.18